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See a sample rate comparisonCPT 48545 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Pancreatorraphy For Trauma
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 23 - Emergency Room |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 48545 |
| Medicaid Fee Schedule | View Medicaid rates for 48545 |
National average reimbursement for CPT 48545 by major payers:
$1,717.63
$1,772.55
$1,846.66
$2,121.06
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CPT 48545
5 of 25 sample ratesHigher to lower in this preview
Iowa City Ambulatory Surgical Center, LLC
Iowa City Ambulatory Surgical Center
$2,984.00Published rateNorth Haven Surgery Center LLC, North Haven Pain Medicine Center, LLC
North Haven Surgery Center LLC
$1,064.00Published rateEndoscopy Center Of St Thomas LLC, Ngs Endoscopy Center
Endoscopy Center Of St Thomas LLC
$592.00Published rateApac Surgical Center II, LLC, Apac Surgery Center II LLC
Apac Surgical Center II LLC
$400.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 48545 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 48545 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 48545 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 47800-CPT | High | Reconstr Plstic Of Extrahepatic Biliary Ducts W/ End-To-End, Reconstruction Plastic Of Extrahepatic Biliary Ducts With End-To-End |
| 48152-CPT | High | Pancreatic Surgery, Pancreatectomy Proximal Subtotal With Total Duodenectomy Partial Gastrectomy Cholecystoenterostomy And Gastrojejunostomy (Whipple-Type Procedure); Without Pancreatojejunostomy |
| 48545-CPT | High | Pancreatorraphy For Trauma |
| 48547-CPT | High | Duodenal Exclusion W/ Gastrojejunostomy For Pancreatic Njury, Duodenal Exclusion With Gastrojejunostomy For Pancreatic Injury |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 48545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 48545 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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